PEER RESPONSE week 7

Instructions

answer to each classmate

4 sentece per peer response is fine

1 reference per each calssmate respone

Case Study 2

 

Mr. Brown, who was your eighth-grade science teacher, has been a patient in your practice for many years. Several years ago, he was diagnosed with cancer and has been undergoing treatments. He recently was told that his cancer was no longer responding to treatments and that his condition is terminal. Mr. Brown, along with his wife and daughter, have scheduled an appointment to discuss palliative care and what can be expected. Although Mr. Brown’s death is not imminent, his care needs clearly will continue to increase, and they will continue until his eventual death from the disease. The disease process is typically accompanied by an increasing level of pain, which is of great concern to Mr. Brown and his family. The meeting today is intended to determine whether the patient and the family feel that palliative care is appropriate.

 classmate 1 

Case Study Questions

 

  1. What are some open-ended questions that can be asked to explore the need for palliative care?

What is your understanding of where things stand now with your illness?

As you think about your illness, what is the best and the worst that might happen?

What has been the most difficult about this illness for you?

What are your hopes, expectations, and fears for the future?

As you think about the future, what is the most important to you, what matters most to you?

classmate 2 

how should Mr. Brown’s spiritual well-being be evaluated, and why is it part of total pain management?

  • Spirituality has a substantial association with pain. Spirituality and religious belief can help patients deal with their pain and give them hope. Depression is one of the many reasons’ spirituality should be included in the pain management plan. Mr. Brown’s spiritual well-being can be evaluated by certain statement of unbelief or statement of why they have been abandoned during this time. 

case 1

Dr. Wilson is a physician who owns the private practice where you work. She has provided primary-care services for over 20 years in a rural community. In this time, she has seen many patients and their families struggle to receive adequate palliative care. You have practiced collaboratively with Dr. Wilson for 5 years, and you are the only nurse practitioner on staff. To help expand the services offered and meet population needs, Dr. Wilson has asked you to lead a new palliative care program in the practice. During an initial investigation, you note that a trend of including palliative care in primary-care practices is on the rise. Creating a program that is efficient and effective will require you to gain the buy-in of the staff and other providers in the practice. With this in mind, you begin developing the progress

   Case Questions

 classmate 3 

Why are primary-care providers (PCPs) best suited to provide palliative care for their patients?

Ideally primary care providers come to know the patient and family, individualize care for the patient based on ta long understanding of who they are and what their life has entailed develop a full understanding of the needs and challenges faced by people with life threatening illnesses, and can develop a plan to reduce suffering and pain. Providing palliative care in the primary car setting by creating teams led by NP seems the ideal method to promote end of life care, reduce the costs of unnecessary aggressive care, improve the quality of life of adults experiencing life threatening illnesses and provide comfort, compassion and caring for patients and families at this difficult time (Dunphy et al., 2019).  

classmate 4 

  1. Dr. Wilson has given you the task of developing and managing the new palliative-care program. What do you need to do to ensure proper management of the program?

I must make sure that I am giving person-centered and family focused care (Dunphy, et. al., 2019). I must also provide clinician-patient communication and advance care planning along with professional education and development for myself and my team (Dunphy, et. al., 2019). There should also be a policy and payment system to support palliative care across all settings (Dunphy, et. al., 2019). Public education and engagement is also a must (Dunphy, et. al., 2019).

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